Individual provider Active NPI

Andrew Nicholas Woolward, OTR/L

  • Occupational Therapist
  • Elmhurst, NY
National Provider Identifier
1154565687
Registry record updated Jan 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
014057-1 Issued in NY
Practice address
8709 Justice Ave
1St Floor
Elmhurst, NY 11373-4556
Phone
(718) 699-5070
Fax
(718) 699-5071
NPI assigned
Apr 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 014057-1 NY Primary

Addresses

Primary practice location

8709 Justice Ave
1St Floor
Elmhurst, NY 11373-4556

Mailing address

8709 Justice Ave
1St Floor
Elmhurst, NY 11373-4556
Phone (718) 699-5070

Other identifiers 1

IdentifierTypeStateIssuer
03783846MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090608000047 NY Practitioner - Occupational Therapist in Private Practice 0345390704 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Physical Therapy Ultra PLLCGroup PAC ID 3577881556, 4 clinicians

Practice addresses (Care Compare)

150 W 51St St
Apt 1123
New York, NY 10019-6842
Phone (646) 301-5893

2 Hope Dr
Plainview, NY 11803-5626
Phone (516) 822-2118

87 - 09 Justice Ave
1St Floor
Elmhurst, NY 11373-4556

8709 Justice Ave
Elmhurst, NY 11373-4556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014057NYMDMental Health Counselor
014057-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Physical & Occupational Therapy PLLC Occupational Therapist CurrentSince Nov 4, 2020 Accepting new patients
Morano Rehabilitation PT Home Services PLLC CurrentSince Sep 15, 2011 Accepting new patients
Better Yourself Rehabilitation Physical and Occupational Therapy, PLLC Occupational Therapist CurrentSince Sep 1, 2018 Accepting new patients
Stellar Physical & Occupational Therapy & Acupuncture, PLLC Current Accepting new patients
Physical Therapy Ultra PLLC CurrentSince Feb 1, 2023 Accepting new patients
Progressive Rehab and Home Care PT & OT, PLLC Occupational Therapist CurrentSince Jan 1, 2014 Accepting new patients

Locations

143 E Ridgewood Ave
Unit 309
Ridgewood, NJ 07451

8709 Justice Ave
Ste 1
Elmhurst, NY 11373
Phone (718) 699-5070

534 W 112th St
Unit 250872
New York, NY 10025
Phone (516) 368-2829

455 N End Ave
Bsmt
New York, NY 10282
Phone (646) 470-8615

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453507200000",
    "number": "1154565687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 JUSTICE AVE",
            "address_2": "1ST FLOOR",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734556",
            "telephone_number": "718-699-5070",
            "fax_number": "718-699-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8709 JUSTICE AVE",
            "address_2": "1ST FLOOR",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734556",
            "telephone_number": "718-699-5070",
            "fax_number": "718-699-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLWARD",
        "first_name": "ANDREW",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2016-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014057-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03783846",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.